NPIMap

Individual provider Active NPI

Kent E Renaud, DPM

  • Podiatrist
  • Rapid City, SD
National Provider Identifier
1477523512
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
157 Issued in SD
Practice address
7220 Mount Rushmore Rd
Rapid City, SD 57702-8754
Phone
(605) 341-1414
Fax
(605) 341-7062
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 157 SD Primary

Addresses

Primary practice location

7220 Mount Rushmore Rd
Rapid City, SD 57702-8754

Mailing address

PO Box 6850
Rapid City, SD 57709-6850
Phone (605) 341-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040622000763 SD Practitioner - Podiatry 0042105397 Reassigns benefits to 2 organizations
I20120430000432 NE Practitioner - Podiatry 0042105397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians
Black Hills Orthopedic and Spine Center IncGroup PAC ID 0648172932, 73 clinicians

Practice addresses (Care Compare)

216 Anamaria Dr
Rapid City, SD 57701-7366
Phone (605) 791-7777

7220 Mount Rushmore Rd
Rapid City, SD 57702-8754
Phone (605) 737-9151

825 Centennial Dr
Chadron, NE 69337-9400
Phone (308) 432-5586

Hospital & facility affiliations

  • Black Hills Surgical Hospital LLC Hospital, Rapid City, SD, CCN 430091
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077

Merit-based Incentive Payment System (MIPS)

Final score
95.06 of 100Reported as group
Quality
99.26
Promoting interoperability
90
Improvement activities
40
Cost
92.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue116
Removal of nail tissue103
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
331NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Black Hills Orthopedic & Spine Center, Inc. CurrentSince Jun 1, 2004 Accepting new patients
Medical Associates of the Black Hillc, LLC. Past Accepting new patients

Locations

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

7220 Mount Rushmore Rd
Rapid City, SD 57702
Phone (605) 737-9144

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71180
  • Direct secure messaging: kent.renaud@bhosc.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1477523512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6850",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096850",
            "telephone_number": "605-341-1414",
            "fax_number": "605-341-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 MOUNT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028754",
            "telephone_number": "605-341-1414",
            "fax_number": "605-341-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENAUD",
        "first_name": "KENT",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.